Lewis, Vivian

Lewis, Vivian is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Lewis, Vivian can be contacted via phone (585) 487-3386.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0002
Fax: (585) 334-8998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 137023 New York

Profile Details

NPI number 1194755967
LBN Legal business name Lewis, Vivian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194755967 NPPES
New York Other MD410M PREFERRED CARE
New York MEDICAID 01222095 PREFERRED CARE
New York Other P010137023 PREFERRED CARE
New York Other 1906 PREFERRED CARE
New York Other 4262575 PREFERRED CARE

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